Healthcare Provider Details

I. General information

NPI: 1467033027
Provider Name (Legal Business Name): DR. ALEJANDRO ESTEBAN MERCADO SANTORI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 MERCY DR NW
CANTON OH
44708-2614
US

IV. Provider business mailing address

8354 YORKSHIRE ST NW
MASSILLON OH
44646-8728
US

V. Phone/Fax

Practice location:
  • Phone: 330-489-1000
  • Fax: 330-489-1000
Mailing address:
  • Phone: 832-933-6786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number35.153411
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: